{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:35:15Z","timestamp":1790660115377,"version":"4.1.0"},"reference-count":41,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2014,2,1]],"date-time":"2014-02-01T00:00:00Z","timestamp":1391212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2014,2,1]],"date-time":"2014-02-01T00:00:00Z","timestamp":1391212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T00:00:00Z","timestamp":1669248000000},"content-version":"vor","delay-in-days":3218,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"NIH","award":["KM1CA156709-01"],"award-info":[{"award-number":["KM1CA156709-01"]}]},{"name":"NIH","award":["T32HL007854-17"],"award-info":[{"award-number":["T32HL007854-17"]}]},{"name":"Columbia University Irving Institute for Clinical and Translational Research","award":["UL1"],"award-info":[{"award-number":["UL1"]}]},{"name":"Columbia University Irving Institute for Clinical and Translational Research","award":["TR000040"],"award-info":[{"award-number":["TR000040"]}]}],"content-domain":{"domain":["amjtransplant.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Transplantation"],"published-print":{"date-parts":[[2014,2]]},"DOI":"10.1111\/ajt.12553","type":"journal-article","created":{"date-parts":[[2014,1,28]],"date-time":"2014-01-28T10:59:34Z","timestamp":1390906774000},"page":"404-415","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":118,"title":["Kidneys at Higher Risk of Discard: Expanding the Role of Dual Kidney Transplantation"],"prefix":"10.1016","volume":"14","author":[{"given":"B.","family":"Tanriover","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Mohan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.J.","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Radhakrishnan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.L.","family":"Nickolas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.W.","family":"Stone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.S.","family":"Tsapepas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.J.","family":"Crew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.K.","family":"Dube","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.R.","family":"Sandoval","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Samstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Dogan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.S.","family":"Gaston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.N.","family":"Tanriover","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.E.","family":"Ratner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.A.","family":"Hardy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1111\/ajt.12553_bib1","first-page":"365","article-title":"Kidney donation and transplantation in Eurotransplant 2006\u20132007: Minimizing discard rates by using a rescue allocation policy","volume":"19","author":"Vinkers","year":"2009","journal-title":"Prog Transplant"},{"key":"10.1111\/ajt.12553_bib2","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1111\/j.1600-6143.2007.02014.x","article-title":"Prospective age-matching in elderly kidney transplant recipients\u2014A 5-year analysis of the Eurotransplant Senior Program","volume":"8","author":"Frei","year":"2008","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib3","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1034\/j.1600-6143.2002.20713.x","article-title":"Evaluation of the Eurotransplant Senior Program. The results of the first year","volume":"2","author":"Smits","year":"2002","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib4","unstructured":"OPTN\/UNOS. Revison to the deceased donor kidney allocation policy by UNOS\/OPTN Board. 2013. Available at: http:\/\/optn.transplant.hrsa.gov\/news\/newsDetail.asp?id=1600. Accessed July 21, 2013."},{"key":"10.1111\/ajt.12553_bib5","unstructured":"Data from US Renal Data System, USRDS 2012 Annual Data Report (http:\/\/www.usrds.org\/2012\/pdf\/v2_ch7_12.pdf). Atlas of chronic kidney disease and end-stage renal disease in the US National Institute of Health. National Institute of Diabetes, Digestive and Kidney Diseases, Bethesda, MD, 2012: Chapter 7, Volume 2: 283\u2013294."},{"key":"10.1111\/ajt.12553_bib6","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1097\/01.tp.0000296855.44445.af","article-title":"Outcomes of dual adult kidney transplants in the United States: An analysis of the OPTN\/UNOS database","volume":"85","author":"Gill","year":"2008","journal-title":"Transplantation"},{"key":"10.1111\/ajt.12553_bib7","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.1097\/00007890-199612150-00009","article-title":"Double renal allografts successfully increase utilization of kidneys from older donors within a single organ procurement organization","volume":"62","author":"Johnson","year":"1996","journal-title":"Transplantation"},{"key":"10.1111\/ajt.12553_bib8","unstructured":"OPTN\/UNOS. Double kidney allocation. July 25, 2013. Available at: http:\/\/optn.transplant.hrsa.gov\/PoliciesandBylaws2\/policies\/pdfs\/policy_7.pdf. Accessed August 3, 2013."},{"key":"10.1111\/ajt.12553_bib9","doi-asserted-by":"crossref","first-page":"2543","DOI":"10.1111\/j.1600-6143.2006.01519.x","article-title":"Ways to boost kidney transplant viability: A real need for the best use of older donors","volume":"6","author":"Ruggenenti","year":"2006","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib10","doi-asserted-by":"crossref","first-page":"2109","DOI":"10.2215\/CJN.03490410","article-title":"Access to kidney transplantation among the elderly in the United States: A glass half full, not half empty","volume":"5","author":"Schaeffner","year":"2010","journal-title":"Clin J Am Soc Nephrol"},{"key":"10.1111\/ajt.12553_bib11","doi-asserted-by":"crossref","first-page":"532","DOI":"10.2215\/CJN.01130905","article-title":"Which renal transplant candidates should accept marginal kidneys in exchange for a shorter waiting time on dialysis?","volume":"1","author":"Schold","year":"2006","journal-title":"Clin J Am Soc Nephrol"},{"key":"10.1111\/ajt.12553_bib12","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1111\/j.1600-6143.2006.01390.x","article-title":"The expanded criteria donor policy: An evaluation of program objectives and indirect ramifications","volume":"6","author":"Schold","year":"2006","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib13","doi-asserted-by":"crossref","first-page":"1959","DOI":"10.1111\/j.1600-6143.2010.03204.x","article-title":"The \u2018two, one, zero\u2019 decision: What to do with suboptimal deceased donor kidneys","volume":"10","author":"Shapiro","year":"2010","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib14","doi-asserted-by":"crossref","first-page":"2000","DOI":"10.1111\/j.1600-6143.2010.03188.x","article-title":"Technical aspects of unilateral dual kidney transplantation from expanded criteria donors: Experience of 100 patients","volume":"10","author":"Ekser","year":"2010","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib15","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1111\/j.1600-6143.2008.02157.x","article-title":"Determinants of discard of expanded criteria donor kidneys: Impact of biopsy and machine perfusion","volume":"8","author":"Sung","year":"2008","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib16","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1097\/01.tp.0000216284.81604.d4","article-title":"Could more effective use of kidneys recovered from older deceased donors result in more kidney transplants for older patients?","volume":"81","author":"Cecka","year":"2006","journal-title":"Transplantation"},{"key":"10.1111\/ajt.12553_bib17","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1034\/j.1600-6143.2003.00146.x","article-title":"The report of a national conference on the wait list for kidney transplantation","volume":"3","author":"Gaston","year":"2003","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib18","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1111\/j.1600-6143.2007.02071.x","article-title":"Why are nearly half of expanded criteria donor (ECD) kidneys not transplanted?","volume":"8","author":"Cecka","year":"2008","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib19","doi-asserted-by":"crossref","first-page":"2745","DOI":"10.1111\/j.1600-6143.2005.01095.x","article-title":"Expanded criteria donor kidney allocation: Marked decrease in cold ischemia and delayed graft function at a single center","volume":"5","author":"Carter","year":"2005","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib20","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1111\/j.1600-6143.2011.03956.x","article-title":"With respect to elderly patients: Finding kidneys in the context of new allocation concepts","volume":"12","author":"Tso","year":"2012","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib21","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1111\/j.1600-6143.2011.03789.x","article-title":"The aggressive phenotype: Center-level patterns in the utilization of suboptimal kidneys","volume":"12","author":"Garonzik-Wang","year":"2012","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib22","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1097\/TP.0b013e3181ac620b","article-title":"A comprehensive risk quantification score for deceased donor kidneys: The kidney donor risk index","volume":"88","author":"Rao","year":"2009","journal-title":"Transplantation"},{"key":"10.1111\/ajt.12553_bib23","unstructured":"OPTN\/UNOS. Guide to calculating and interpreting KDPI. 2012. Available at: http:\/\/optn.transplant.hrsa.gov\/ContentDocuments\/Guide_to_Calculating_Interpreting_KDPI.pdf. Accessed July 31, 2013."},{"key":"10.1111\/ajt.12553_bib24","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1097\/01.TP.0000130452.01521.B1","article-title":"Dual-kidney transplantation with organs from expanded criteria donors: A long-term follow-up","volume":"78","author":"Tan","year":"2004","journal-title":"Transplantation"},{"key":"10.1111\/ajt.12553_bib25","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1016\/j.surg.2006.07.004","article-title":"Experience with dual kidney transplants from donors at the extremes of age","volume":"140","author":"Moore","year":"2006","journal-title":"Surgery"},{"key":"10.1111\/ajt.12553_bib26","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1097\/00007890-200001270-00014","article-title":"Outcome in recipients of dual kidney transplants: An analysis of the dual registry patients","volume":"69","author":"Lu","year":"2000","journal-title":"Transplantation"},{"key":"10.1111\/ajt.12553_bib27","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1097\/00007890-200009150-00014","article-title":"Cadaveric \u201ctwo-in-one\u201d kidney transplantation from marginal donors: Experience of 26 cases after 3 years","volume":"70","author":"Dietl","year":"2000","journal-title":"Transplantation"},{"key":"10.1111\/ajt.12553_bib28","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1681\/ASN.V32162","article-title":"In renal transplantation, one size may not fit all","volume":"3","author":"Brenner","year":"1992","journal-title":"J Am Soc Nephrol"},{"issue":"5 Suppl 2","key":"10.1111\/ajt.12553_bib29","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/0272-6386(93)70097-I","article-title":"Nephron underdosing: A programmed cause of chronic renal allograft failure","volume":"21","author":"Brenner","year":"1993","journal-title":"Am J Kidney Dis"},{"key":"10.1111\/ajt.12553_bib30","doi-asserted-by":"crossref","first-page":"2781","DOI":"10.1111\/j.1600-6143.2012.04153.x","article-title":"Long-term results of biopsy-guided selection and allocation of kidneys from older donors in older recipients","volume":"12","author":"Fernandez-Lorente","year":"2012","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib31","doi-asserted-by":"crossref","first-page":"2433","DOI":"10.1111\/ajt.12383","article-title":"Outcomes of adult dual kidney transplants by KDRI in the United States","volume":"13","author":"Klair","year":"2013","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib32","doi-asserted-by":"crossref","first-page":"1971","DOI":"10.1111\/j.1600-6143.2012.04149.x","article-title":"Utilization and outcomes of marginal kidneys\u2014Using Kidney Donor Risk Index to move beyond the current labels","volume":"12","author":"Friedewald","year":"2012","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib33","doi-asserted-by":"crossref","first-page":"2316","DOI":"10.1111\/j.1600-6143.2008.02370.x","article-title":"The Maryland aggregate pathology index: A deceased donor kidney biopsy scoring system for predicting graft failure","volume":"8","author":"Munivenkatappa","year":"2008","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib34","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1097\/TP.0b013e31818bbe06","article-title":"Fibrous intimal thickening at implantation adversely affects long-term kidney allograft function","volume":"87","author":"Woestenburg","year":"2009","journal-title":"Transplantation"},{"key":"10.1111\/ajt.12553_bib35","doi-asserted-by":"crossref","first-page":"2325","DOI":"10.1111\/j.1600-6143.2008.02394.x","article-title":"A simple clinico-histopathological composite scoring system is highly predictive of graft outcomes in marginal donors","volume":"8","author":"Anglicheau","year":"2008","journal-title":"Am J Transplant"},{"key":"10.1111\/ajt.12553_bib36","doi-asserted-by":"crossref","first-page":"2591","DOI":"10.1681\/ASN.V10122591","article-title":"Early experience with dual kidney transplantation in adults using expanded donor criteria. Double Kidney Transplant Group (DKG)","volume":"10","author":"Remuzzi","year":"1999","journal-title":"J Am Soc Nephrol"},{"key":"10.1111\/ajt.12553_bib37","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1056\/NEJMoa052891","article-title":"Long-term outcome of renal transplantation from older donors","volume":"354","author":"Remuzzi","year":"2006","journal-title":"N Engl J Med"},{"key":"10.1111\/ajt.12553_bib38","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1097\/TP.0b013e318277b2be","article-title":"Outcomes of kidney transplantation from older living donors","volume":"95","author":"Lim","year":"2013","journal-title":"Transplantation"},{"key":"10.1111\/ajt.12553_bib39","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1056\/NEJMoa0802289","article-title":"Machine perfusion or cold storage in deceased-donor kidney transplantation","volume":"360","author":"Moers","year":"2009","journal-title":"N Engl J Med"},{"key":"10.1111\/ajt.12553_bib40","doi-asserted-by":"crossref","first-page":"4458","DOI":"10.1093\/ndt\/gfs321","article-title":"Machine perfusion versus cold storage for the preservation of kidneys from donors \u226565 years allocated in the Eurotransplant Senior Programme","volume":"27","author":"Gallinat","year":"2012","journal-title":"Nephrol Dial Transplant"},{"key":"10.1111\/ajt.12553_bib41","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1111\/j.1600-6143.2005.00910.x","article-title":"Are we frozen in time? Analysis of the utilization and efficacy of pulsatile perfusion in renal transplantation","volume":"5","author":"Schold","year":"2005","journal-title":"Am J Transplant"}],"container-title":["American Journal of Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajt.12553","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajt.12553","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1600613522253441?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1600613522253441?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/onlinelibrary.wiley.com\/wol1\/doi\/10.1111\/ajt.12553\/fullpdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T05:02:58Z","timestamp":1761627778000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1600613522253441"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2]]},"references-count":41,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2014,2]]}},"alternative-id":["S1600613522253441"],"URL":"https:\/\/doi.org\/10.1111\/ajt.12553","relation":{},"ISSN":["1600-6135"],"issn-type":[{"value":"1600-6135","type":"print"}],"subject":[],"published":{"date-parts":[[2014,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Kidneys at Higher Risk of Discard: Expanding the Role of Dual Kidney Transplantation","name":"articletitle","label":"Article Title"},{"value":"American Journal of Transplantation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1111\/ajt.12553","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2014 American Society of Transplantation & American Society of Transplant Surgeons. Published by Elsevier Inc. All rights reserved. Published by Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}